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This is VAERS ID 284486

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284486
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Amenorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a medical assistant concerning a patient who was vaccinated with Gardasil. Subsequently the patient experienced amenorrhea. No further details were provided. The medical assistant also reported the same adverse experienc"e for herself which was captured in WAES #0705USA04044. Additional information has been requested.


Changed on 12/8/2009

284486 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Amenorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0705USA04921

Write-up:Information has been received from a medical assistant concerning a patient who was vaccinated with Gardasil. Subsequently the patient experienced amenorrhea. No further details were provided. The medical assistant also reported the same adverse experienc"e experience for herself which was captured in WAES #0705USA04044. Additional information has been requested.


Changed on 9/14/2017

284486 Before After
VAERS Form:(blank) 1
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amenorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA04921

Write-up:Information has been received from a medical assistant concerning a patient who was vaccinated with Gardasil. Subsequently the patient experienced amenorrhea. No further details were provided. The medical assistant also reported the same adverse experience for herself which was captured in WAES #0705USA04044. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284486&WAYBACKHISTORY=ON


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